COMMUNITY RESOURCE SPECIALIST

AllCare Management Services•Grants Pass, OR

7h•Onsite

About The Position

This position supports coordinated care members in accessing physical, oral, and behavioral health services by building trusting relationships and serving as a liaison between the member, service providers, and the community. Approximately 80% of engagement occurs via phone and email, with 20% involving in-person support. The role enhances service quality and cultural competence while increasing health literacy, knowledge, and self-sufficiency through outreach, education, informal counseling, social support, and advocacy.

Requirements

Requires the use of personal vehicle for local travel (subject to mileage reimbursement).
Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
All health care providers who are HIPAA covered entities, whether individuals or organizations, must obtain an NPI number.
Under HIPAA, you’re a covered health care provider if you electronically transmit health information in connection with a HIPAA standard transaction, even if you use a business associate to do so.
AllCare Health employs staff that are defined under OHA or CMS as health care providers.
Positions that are defined as providers include, but are not limited to, Doctors, Nurse Practitioners, Physical Therapists, Traditional Health Workers, and Certified or Qualified Healthcare Interpreters.
High school diploma or general education degree (GED) required.
At least three to six months’ related experience and/or training in a similar role required.
Valid Oregon Driver’s License and vehicle insurance.
Current Mental Health First Aid Certification or willingness to be certified within 90 days of hire.
Current Verbal De-escalation (CPI) Certification or willingness to be certified within 90 days of hire.
Traditional Health Worker (THW) certification through OHA is required or to be obtained within two years of hire date.
Completes the National Provider Identifier (NPI) registration within the first 30 days of completion of the THW.
Exceptional writing, editing, and proofreading skills.
Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).
Basic medical knowledge, including ability to recognize social and medical risk factors, trauma symptoms and behaviors, and chronic disease conditions.
Familiarity with the Healthcare industry.
Knowledge of and compliance with HIPAA regulations.
Demonstrates accountability, professionalism, and cultural awareness while working effectively in a fast-paced, multidisciplinary environment.
Communicates clearly and respectfully with team members and customers, resolving conflicts independently and maintaining confidentiality.
Adapts to change, manages stress, and uses creativity and sound judgment to solve problems.
Prioritizes tasks, meets deadlines, and engages positively with individuals from diverse backgrounds, including those with mental illness.
Builds trust through empathy, collaboration, and a commitment to continuous learning and service excellence.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.
The employee must be able to work onsite for all scheduled shifts.
The employee must be able to travel locally, as needed.
The employee has exposure to communicable disease and body fluids.
Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained.

Nice To Haves

College degree is preferred.
Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care.
Verbal and written fluency in Spanish is preferred.

Responsibilities

Provides information, assistance, tools, and support to enable a member to make the best health care decisions for their unique personal situation.
Works in the office making phone calls and meeting with members for walk-in appointments, with occasional travel to member’s homes or care settings.
Completes all required documentation inclusive of electronic documentation in a timely manner in accordance with regulations and AllCare CCO and Medicare Advantage policies and procedures.
Participates in the development of individual treatment plans with the member and their primary care team.
Assists in removing barriers to care and individual self-management goals by bridging community, cultural, linguistic, educational, and other barriers to encourage self- care.
Assists members and their families in accessing community-based support systems, understanding treatment options, and preventive behaviors.
Helps coordinate member transportation and accompaniment as needed to scheduled appointments.
Meets members where they are at, in multiple care settings, as needed to ensure that members are supported in making high value care decisions.
Anticipates, identifies, and helps members to overcome barriers within the health care system to ensure the prompt resolution of emerging health crises.
Supports and educates members in social support services, basic health education, provides advocacy, health system navigation and community coordination.
Participates in the development of individual treatment plans with the member and their primary care team.
Participates in regularly scheduled staff development trainings to maintain and improve personal knowledge base of various chronic diseases.
Participates in and attends regularly scheduled supervision meetings and shares both successes and challenges of working with high-need members and their medical team.
Proactively communicates all concerns to health care team, PCP and program manager, as necessary, seeking support and guidance.
Interprets and represents the goals and objectives of the community resource specialist to community members and other agencies.
Assists in quality initiatives for the department, as needed.
Coordinates care needs for the Dual Special Needs Population (DSNP) member to ensure compliance with the Special Needs Model of Care (SNP MOC).
Prepares for and participates in all required DSNP training, education, and member audits.
Participates in initial, annual, and ongoing trainings.
Acts as preceptor during the onboarding of new hire employees.
Maintains punctual, regular, and predictable attendance.
Works collaboratively in a team environment with a spirit of cooperation.
Respectfully takes direction from care coordination leaders.
Meets all required training including those listed in Relias Learning Module System (LMS).
Other duties as assigned.